| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,318.47 | $5,318.47 | $5,318.47 | |
Providence
| Facility | $2,593.17 | $5,635.50 | $6,053.66 |
Rescj/Exc Les Base Pcf Foramen Vrt Bodies Idrl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,318.47 | $5,318.47 | $5,318.47 | |
Providence
| Facility | $2,593.17 | $5,635.50 | $6,053.66 |